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Organization
NERD ADVENTURE THERAPY 20 LLC
Active
Organization
NERD ADVENTURE THERAPY 20 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE NICOLE MACPHERSON LCSWC (CEO)
(410) 443-0177
Entity
Organization
Contact information
Practice address
300 W MAPLE RD, LINTHICUM, MD 21090-2434
(410) 443-0177
Mailing address
1200 S CONKLING ST APT 541, BALTIMORE, MD 21224-5332
(410) 443-0177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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